geriatric health maintenance

Question 1

differential for difficulty understanding speech by an elderly person

Answer 1

presbycusis, cerumen impaction, otosclerosis, central auditory processing disorder

Question 2

noise induced hearing loss presents with

Answer 2

tinnitus
difficulty w speech discrimination
problems hearing background noise

Question 3

central auditory processing disorder

Answer 3

hearing impariment that results from CNS dysfxn

difficulting understanding spoken lang but may be able to hear sounds well

Question 4

what to assess at geriatric visit for health maintenance

Answer 4

vision
ADLs/IADLs
hearing
fall asessment
cognitive screening (clock draw, 3 item recall)
incontinence
depression screen
nutrition screen (weight, appetite)
hypertension
stroke prevention
cancer screening (mammogram, colon, cervical)
osteoporosis screen
immunizations (>65 gets pneumococcal shot and a single booster dose of tetanus and diphtheria, >60 get one dose of herpes zoster)

advance directives